{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,2]],"date-time":"2025-08-02T18:15:05Z","timestamp":1754158505814,"version":"3.41.2"},"reference-count":40,"publisher":"Emerald","issue":"8","license":[{"start":{"date-parts":[[2016,10,10]],"date-time":"2016-10-10T00:00:00Z","timestamp":1476057600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.emerald.com\/insight\/site-policies"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJHCQA"],"published-print":{"date-parts":[[2016,10,10]]},"abstract":"<jats:sec>\n<jats:title content-type=\"abstract-subheading\">Purpose<\/jats:title>\n<jats:p>The purpose of this paper is to evaluate socio-economic inequalities in the use, accessibility and satisfaction with health services amongst 60-84 year old people from seven European urban communities.<\/jats:p>\n<\/jats:sec>\n<jats:sec>\n<jats:title content-type=\"abstract-subheading\">Design\/methodology\/approach<\/jats:title>\n<jats:p>Data for this study were collected in 2009. The target population was people aged 60-84 years from Stuttgart (Germany), Athens (Greece), Ancona (Italy), Kaunas (Lithuania), Porto (Portugal), Granada (Spain) and Stockholm (Sweden). The total sample comprised 4,467 respondents with a mean response rate across these countries of 45.2 per cent.<\/jats:p>\n<\/jats:sec>\n<jats:sec>\n<jats:title content-type=\"abstract-subheading\">Findings<\/jats:title>\n<jats:p>The study demonstrated that the majority of respondents had contact with a health care provider within the last 12 months. The highest percentages were reported by respondents from Spain (97.8 per cent) and Portugal (97.7 per cent). The results suggest that 13.0 per cent of respondents had refrained from seeking care services. The highest rates were amongst seniors from Lithuania (24.0 per cent), Germany (16.2 per cent) and Portugal (15.4 per cent). Logistic regression suggests that seniors who refrained from seeking health care was statistically significant associated with those with higher levels of education (odds ratios (OR)=1.21; 95 per cent confidence intervals (CI)=1.01-1.25) and financial strain (OR=1.26; 95 per cent CI=1.16-1.37). Furthermore, the majority of respondents were satisfied with health care services.<\/jats:p>\n<\/jats:sec>\n<jats:sec>\n<jats:title content-type=\"abstract-subheading\">Originality\/value<\/jats:title>\n<jats:p>The findings from the \u201cElder Abuse: a multinational prevalence survey\u201d study indicate the existence of significant variations in use, accessibility and satisfaction with health services by country and for socio-economic factors related to organizing and financing of care systems.<\/jats:p>\n<\/jats:sec>","DOI":"10.1108\/ijhcqa-09-2015-0110","type":"journal-article","created":{"date-parts":[[2016,9,28]],"date-time":"2016-09-28T16:49:45Z","timestamp":1475081385000},"page":"895-906","source":"Crossref","is-referenced-by-count":4,"title":["Healthcare and aging: do European Union countries differ?"],"prefix":"10.1108","volume":"29","author":[{"given":"Mindaugas","family":"Stankunas","sequence":"first","affiliation":[]},{"given":"Mark","family":"Avery","sequence":"additional","affiliation":[]},{"given":"Jutta","family":"Lindert","sequence":"additional","affiliation":[]},{"given":"Ian","family":"Edwards","sequence":"additional","affiliation":[]},{"given":"Mirko Di","family":"Rosa","sequence":"additional","affiliation":[]},{"given":"Francisco","family":"Torres-Gonzalez","sequence":"additional","affiliation":[]},{"given":"Elisabeth","family":"Ioannidi-Kapolou","sequence":"additional","affiliation":[]},{"given":"Henrique","family":"Barros","sequence":"additional","affiliation":[]},{"given":"Joaquim","family":"Soares","sequence":"additional","affiliation":[]}],"member":"140","reference":[{"issue":"2","key":"key2020121200172748900_ref001","doi-asserted-by":"crossref","first-page":"254","DOI":"10.1177\/089826439500700205","article-title":"Changes in functional ability from ages 70 to 75. 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